Organization Active NPI

Walgreens

  • Community/Behavioral Health Agency
  • Lutz, FL
National Provider Identifier
1023403417
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PS53078 Issued in FL
Legal business name
WALGREENS
Practice address
25201 Wesley Chapel Blvd
Lutz, FL 33559-7201
Phone
(813) 453-6582
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terrence Collins
Title
District Manager
Phone
(813) 621-6041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PS53078 FL Primary

Addresses

Primary practice location

25201 Wesley Chapel Blvd
Lutz, FL 33559-7201

Mailing address

2004 Oak Isle CT
Valrico, FL 33594-6758
Phone (813) 453-6582

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1023403417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 OAK ISLE CT",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335946758",
            "telephone_number": "813-453-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 WESLEY CHAPEL BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597201",
            "telephone_number": "813-453-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "813-621-6041"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PS53078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.